NPI | 1457823940 |
---|---|
Doing Business As | INTERMOUNTAIN HEALTH ADDICTION MEDICINE & RECOVERY CLINIC - LOGAN |
Entity Type | Organization |
Authorized Contact | JP VALIN EVP Chief Clinical Officer 801-442-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
Enumeration Date | 2018-12-20 |
Last Update Date | 2025-04-18 |